New Medicaid Bulletin as of March 18, 2021

The NC Division of Health Benefits (DHB) has recently published a new Medicaid Bulletin article:

Healthy Opportunities Screening, Assessment and Referral Payment Claims Issue

It has come to the attention of NC Medicaid that Edit 02088, which enforces a rule that coverage of procedure code G9919 for Healthy Opportunities Screening, Assessment and Referrals (HOSAR) positive screenings, be limited to providers affiliated with Carolina Access II based on the rendering provider NPI. More Information

Providers are encouraged to review this information. All bulletin articles, including those related to COVID-19, are available on DHB's Medicaid Bulletin webpage.